Individual
SUSANNE BRANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4 HAZEL AVE, NAUGATUCK, CT 06770-4706
(203) 723-1456
Mailing address
27 NORTHRIDGE RD, NAUGATUCK, CT 06770-1540
(203) 723-4718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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